Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $89.92 / $96.43	Professional		$44.41	$89.92	$96.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.77 / $91.99 / $110.13	Facility		$69.77	$91.99	$110.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $104.62 / $110.13	Professional		$84.27	$104.62	$110.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $192.73 / $214.75	Professional		$30.00	$192.73	$214.75
United Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $51.06 / $53.66	Professional		$49.61	$51.06	$53.66